Individual provider Active NPI

Mary Hunt Hayley, LCSW, PH.D

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1417071580
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
060127 Issued in NY
Practice address
99 University PL Ste 205
New York, NY 10003-4575
Phone
(212) 206-0449
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 060127 NY Primary

Addresses

Primary practice location

99 University PL Ste 205
New York, NY 10003-4575

Mailing address

99 University PL Ste 205
New York, NY 10003-4575
Phone (212) 206-0449

Other identifiers 1

IdentifierTypeStateIssuer
02147157MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060316000343 NY Practitioner - Clinical Social Worker 4587671532 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

113 University PL
Suite 1002
New York, NY 10003-4527
Phone (212) 206-0449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1417071580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 UNIVERSITY PL STE 205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034575",
            "telephone_number": "212-206-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 UNIVERSITY PL STE 205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034575",
            "telephone_number": "212-206-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYLEY",
        "first_name": "MARY",
        "middle_name": "HUNT",
        "name_prefix": "Ms.",
        "credential": "LCSW, PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "060127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02147157",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.